Maytal Grossman, LMFT | |
15455 65th Ave S, Tukwila, WA 98188-2534 | |
(206) 721-5170 | |
Not Available |
Full Name | Maytal Grossman |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 15455 65th Ave S, Tukwila, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598022584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Entity Name | Cowlitz Indian Tribe |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740562909 PECOS PAC ID: 8820030133 Enrollment ID: O20050526000589 |
Mailing Address | Practice Location Address |
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Maytal Grossman, LMFT Po Box 2429, Longview, WA 98632-8486 Ph: (360) 353-9431 | Maytal Grossman, LMFT 15455 65th Ave S, Tukwila, WA 98188-2534 Ph: (206) 721-5170 |
Ms. Fredda Jaffe, M.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13030 Military Rd S, Suite 202, Tukwila, WA 98168 Phone: 206-310-4264 Fax: 206-479-7216 | |
Ms. Jenaya Lee Van Horn-dobberstein, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15455 65th Ave S, Tukwila, WA 98188 Phone: 206-721-5170 Fax: 360-575-1950 | |
Shannon Maricielo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 130 Andover Park E, Tukwila, WA 98188 Phone: 206-854-4693 | |
Mr. Timothy Seth Studley, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15455 65th Ave S, Tukwila, WA 98188 Phone: 206-707-5696 Fax: 206-721-6288 | |
Katharine M Mancini, Couples Therapy Medicare: Medicare Enrolled Practice Location: 6400 Southcenter Blvd, Cfs Southcenter, Tukwila, WA 98188 Phone: 206-444-3600 Fax: 206-444-3610 | |
Ms. Helen Ulla Roubinian, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13925 Interurban Ave S Ste 120, Tukwila, WA 98168 Phone: 206-490-0985 | |
Kellyn Mccullough, MHP., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7100 Fort Dent Way, Suite 220, Tukwila, WA 98188 Phone: 425-640-7009 |